Provider Demographics
NPI:1538493671
Name:WABASHA COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:WABASHA COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-565-3035
Mailing Address - Street 1:411 HIAWATHA DR E
Mailing Address - Street 2:
Mailing Address - City:WABASHA
Mailing Address - State:MN
Mailing Address - Zip Code:55981-1573
Mailing Address - Country:US
Mailing Address - Phone:651-565-3351
Mailing Address - Fax:651-565-3084
Practice Address - Street 1:411 HIAWATHA DR E
Practice Address - Street 2:
Practice Address - City:WABASHA
Practice Address - State:MN
Practice Address - Zip Code:55981-1573
Practice Address - Country:US
Practice Address - Phone:651-565-3351
Practice Address - Fax:651-565-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management